BURLINGTON DERMATOLOGY CENTER, INC. (NPI# 1962544767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962544767 |
| Entity Type | Organization |
| Organization Name | BURLINGTON DERMATOLOGY CENTER, INC. |
| Practice Address |
1522 Vaughn Rd Burlington NC 27217-2871 |
| Practice Telephone | 3362269393 |
| Practice Fax Number | 3362270496 |
| Mailing Telephone | 3362269393 |
| Mailing Fax Number | 3362270496 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-04-30 |
| Authorized Official Name | DR. RICHARD ROBERT HENDERSON (DOCTOR) |
| Authorized Official Telephone | 3362269393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 13641 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8901143 | 05 | |
| NC | 8941461 | 05 |
| Street Address |
1522 VAUGHN RD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217-2871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316921125 | Ernest Bernard Eason | Internal Medicine | 1522 Vaughn Rd, Burlington, NC 27217-2853 | 2005-12-05 |
| 1508038001 | Alamance Academy, LLC | Community/Behavioral Health | 1522 Vaughn Rd, Burlington, NC 27217-2871 | 2008-03-25 |
| 1700855848 | Richard Robert Henderson | Dermatology | 1522 Vaughn Rd, Burlington, NC 27217 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| Find all providers in zip 27217 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205287414 | Prevention Diagnostics Services LLC | Specialist | 6114 S Nc Highway 62, Burlington, NC 27215-9296 | 2016-06-29 |
| 1588036339 | Teresa Tweed | Specialist | 121 Spruce Street, Burlington, WA 98233 | 2015-10-20 |
| 1164810552 | Jean Minton | Specialist | 3018 S Fairway Dr, Burlington, NC 27215-4631 | 2015-01-07 |
| 1669886362 | Diane Rodgers | Specialist | 323 Pearl St, Suite 101, Burlington, VT 05401-8567 | 2014-06-20 |
| 1386083749 | Deanna Shepherd Woody | Specialist | 415 Willie Pace Rd, Burlington, NC 27217-7533 | 2013-06-19 |
| 1609211309 | L & J Homes, Inc. | Specialist | 803 Elizabeth Street, Burlington, NC 27217-2545 | 2013-05-08 |
| 1073755955 | Courtney Elisabeth Williams | Specialist | 121 S Spruce St, Burlington, WA 98233-1718 | 2009-03-24 |
| 1720248255 | Sally A Macfadyen | Specialist | 15 Ludwig Court, Burlington, VT 05401-4163 | 2008-06-09 |
| 1356522049 | Tanya Rene Larson | Specialist | 120 N. Oak St, Burlington, WA 98233 | 2007-11-21 |
| 1972784676 | Bonnie Blankenship | Specialist | 325 E George Hopper Rd Ste 106, Burlington, WA 98233-3154 | 2007-11-21 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.